IRA M LEBENSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046483

License Status

NOT RENEWED

Business

First Name

IRA M

Last Name

LEBENSON

Suffix

Business Name

IRA M LEBENSON MD

Original Issue Date

09/08/1972

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

11/01/2017